Self-referential processing occupies a pivotal position in the depth-psychology corpus as the neural and phenomenological substrate through which a subject constitutes, monitors, and maintains its own sense of self. The literature converges on a neuroanatomical locus: the Default Mode Network (DMN), whose cortical midline structures—medial prefrontal cortex, posterior cingulate, and related areas—are consistently activated during self-related mentation and deactivated during goal-directed, externally oriented tasks. Alcaro and Carta’s neuro-ethological account situates self-referential processing within an evolutionary continuum, tracing its roots to primordial affective self-orientation and arguing that the DMN’s resting-state activity constitutes the neurological ground of reflective selfhood. Lanius and colleagues foreground the clinical stakes: disruptions to self-referential processing in trauma and PTSD are mediated by cortical midline structures whose dysfunction correlates with alexithymia, dissociation, and autobiographical memory fragmentation. Garland’s mindfulness research introduces a regulatory dimension, demonstrating that contemplative practice can attenuate self-referential linguistic elaboration in the medial prefrontal cortex while restoring interoceptive access. The philosophical tradition, represented by Ricoeur and McGilchrist, extends the concept beyond the neural to interrogate the logical and hermeneutic conditions of self-reference, including its paradoxical dimensions. Taken together, these voices frame self-referential processing not merely as cognitive introspection but as the dynamic interface between somatic interoception, affective memory, and narrative identity.